Senior Claims Consultant - Rest

Tal Australia; Sydney; Hybride; AUD 85 000 - 100 000; Plein temps

Avantages offerts par ce poste

Wellbeing benefits

Discounted insurance

Health programs

Staff events

Résumé du poste

TAL in Sydney, Australia, seeks a Senior Claims Consultant to manage a portfolio of complex Group Life Insurance claims with care, professionalism, and regulatory compliance. You will interpret policy terms, communicate with clients and advisers, and collaborate with underwriters, rehab providers, and legal teams to ensure accurate outcomes.

You will mentor junior staff and contribute to technical leadership within the claims team, while thriving in a hybrid work model with a mix of office and

Qualifications

• At least 4 years of experience in Group Life Insurance claims or related fields.
• Strong analytical and problem-solving skills with attention to detail.
• Excellent communication and interpersonal abilities.
• Experience navigating claims systems (Fineos, Genesis, OneNote, Excel).
• Diploma or Cert IV in Life Insurance or equivalent (desirable).
• Relevant tertiary qualifications in Business or Health (desirable).

Responsabilités

• Manage a portfolio of complex Group Life Insurance claims.
• Communicate with customers, advisers and practitioners via phone and written correspondence.
• Interpret policy terms and underwriting decisions to determine claim eligibility.
• Analyse financial and medical information to support evidence-based decisions.
• Lead case conferences and collaborate with internal and external stakeholders.
• Mentor junior staff and contribute to technical leadership.

Connaissances

Claims experience

Analytical thinking

Communication skills

Independence & teamwork

Insurance knowledge

Formation

Bachelor's degree

Diploma or Cert IV in Life Insurance

Tertiary qualifications

Outils

Fineos

Genesis

OneNote

Excel

Description du poste

Job Description

About The Firm

A top insurance company located in Sydney’s CBD.

This company achieved consistent profitable growth by offering innovative risk management solutions. Its customer‑centric focus and financial stability make it a trusted choice for individuals and businesses seeking comprehensive coverage and reliable claims management.

About The Role:

• Evaluating insurance claims promptly and accurately.
• Communicating effectively with clients, brokers, and internal teams.
• Investigating claims by gathering necessary information and conducting interviews.
• Analysing policy coverage and determining claim eligibility.
• Negotiating settlements and handling disputes professionally.
• Maintaining detailed records and documentation for each claim.
• Collaborating with legal and compliance teams to ensure regulatory compliance.
• Providing exceptional customer service throughout the claims process.

Skills & Experience:

• At least 2 years experience in claims insurance role
• Strong analytical and problem‑solving skills with attention to detail.
• Excellent communication and interpersonal abilities.
• Ability to work independently and collaboratively in a fast‑paced environment.
• Knowledge of insurance policies, procedures, and regulatory requirements.
• Competitive salary package ($85,000 - $100,000 depending on experience)
• Quick Career progression to Senior Claims Consultant
• Exposure to a wide network of professionals and potential clients, fostering valuable professional connections.
• Good level of flexibility – implemented a work‑from‑home policy whereby staff have the option of 3 days from home.
• Monthly external training plus regular office sessions & catch‑ups
• Social environment and numerous staff events / Weekly lunch group exercise classes and social events.

Responsibilities:

• Manage and process claims for clients
• Review and analyse claims to determine coverage and liability
• Communicate with clients, insurance companies and stakeholders to gather information and resolve issues
• Negotiate settlements with insurance companies on behalf of clients
• Provide guidance and support to clients throughout the claims process
• Maintain accurate records and documentation of claims

Qualifications:

• Bachelor’s degree in a relevant field
• Minimum of 3 years of experience in claims management or a related field
• Strong analytical and problem‑solving skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Knowledge of insurance policies and regulations
• Competitive Salary + Bonus + Annual Reviews
• Wellbeing Benefits – Mental, Physical & Financial Support
• Enjoy benefits such as discounted insurance, health and well‑being programs, and a range of employee benefits to support

Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we’re driven by big ambitions and empower to create better products and services.

Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you make delivering support and financial security with care and expertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities.

Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we’re reimagining insurance.

So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer.

Job Description

As a Senior Claims Consultant, you’ll play a critical role in our Group Claims team, guiding customers through life insurance claims with care, expertise, and efficiency. You will be responsible for the proactive management of a portfolio of Life Insurance Claims in accordance with TAL’s claims philosophy, claims handling procedures, policy terms & conditions and in accordance with the Life Insurance Code of Practice and other legislative and regulatory requirements.

A key focus of this role involves providing a best‑in‑class customer and client (e.g. advisers, trustees, fund administrators) experience, including regular communication in relation to the status of claims and managing expectations, to deliver on quality health and claim outcomes.

In this role you will:

• Manage a portfolio of complex Group Life Insurance claims, balancing customer needs with policy and business requirements.
• Communicate effectively with customers, advisers, and treating practitioners via phone and written correspondence.
• Interpret policy terms, underwriting decisions, and non‑disclosure matters to determine claim eligibility.
• Analyse complex financial and medical information to make sound, evidence‑based claims decisions.
• Develop and monitor Return to Work plans in collaboration with customers and healthcare providers.
• Lead case conferences and employ strategies to gather critical information on customer conditions and work capacity.
• Collaborate with internal and external stakeholders, including underwriters, rehab consultants, legal and medical officers, and reinsurers.
• Mentor junior staff and contribute to technical leadership across the claims team.

Qualifications

• At least 4‑6 years’ experience in Claims across Group Life Insurance claims with experience in TPD and Income Protection Claims.
• Ability to build rapport and empathy with customers during difficult times and a commitment to delivering proactive, high quality customer service.
• Comfortable navigating claims systems (Fineos, Genesis, OneNote, and Excel).
• Diploma or Cert IV in Life Insurance, or equivalent (desirable).
• Relevant tertiary qualifications in Business, Commerce, Health or Allied Health (desirable).
• Demonstrated analytical and problem‑solving skills and attention to detail.
• Advanced time management and prioritisation skills.

Additional Information

TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:

• An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index
• Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change
• We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.
• Need adjustments during the recruitment process? Let our team know by getting in touch with us here. —we’re here to support you.

Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.

TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:

• An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index
• Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change
• We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.
• Need adjustments during the recruitment process? Let our team know by getting in touch with us here. —we’re here to support you.

As part of the recruitment process, there are several checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks.

#LI-Hybrid

Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we’re driven by big ambitions and empower to create better products and services.

Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you make delivering support and financial security with care and expertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities.

Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we’re reimagining insurance.

So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer.

Job Description

The Retail Income Protection Claims team is responsible for managing a portfolio of complex, high‑value Income Protection claims, with a strong focus on technical excellence, stakeholder engagement, and outcome‑driven portfolio management.

Qualifications

• Strong knowledge of Retail Income Protection claims between 3‑5 years, including policy interpretation, trustee relationships, member expectations, and underwritten and default cover structures.
• Proven experience managing Income Protection claims end‑to‑end, from assessment through to resolution, with the ability to interpret medical, financial and legal information to make fair, well‑reasoned decisions.
• Excellent written and verbal communication skills, including the ability to prepare clear, professional claim correspondence and explain complex outcomes to customers and stakeholders.
• Demonstrated ability to build effective relationships with customers, trustees, medical practitioners, rehabilitation providers, legal representatives, reinsurers and internal business partners.
• A customer‑focused approach, with confidence supporting vulnerable customers and managing sensitive, complex or challenging conversations with empathy and professionalism.
• Strong analytical and investigative skills, with the ability to assess risk, identify potential fraud indicators, balance customer outcomes with commercial considerations, and make timely, evidence‑based decisions.
• A collaborative mindset, working effectively across claims, underwriting, compliance, rehabilitation, finance, technology and specialist support teams to deliver quality claim outcomes.

Additional Information

TAL is one of Australia’s leading life insurers, committed to inclusion, and supporting the career growth of our diverse workforce. We’re proud to be:

• An Inclusive Employer – Recognised as Employer of Choice for Gender Equality by the Workplace Gender Equality Agency and Bronze Tier Status within the Australian Workplace Equality Index
• Diversity Champions – Member of Diversity Council Australia, Australian Disability Network, Pride in Diversity and Champions of Change
• We welcome applications from people with diverse experiences, perspectives and backgrounds including Aboriginal and Torres Strait Islander people, caregivers, individuals living with disabilities, people from culturally diverse backgrounds and the LGBTIQ+ community.
• Need adjustments during the recruitment process? Let our team know by getting in touch with us here. —we’re here to support you.

As part of the recruitment process, there are several checks which may be conducted to demonstrate your eligibility for a role at TAL including Criminal History, Bankruptcy, Entitlement to Work, Regulatory and Reference Checks.

#LI-Hybrid

Everyone at TAL has a responsibility to do the right thing and is accountable for the way they conduct themselves. Our expectations are that you follow the principles set out in our Code of Conduct when you come to work every day. Risk management is everyone’s responsibility.

About the latest Senior claims consultant rest Jobsin Sydney

• Hybrid working (3 days in office and 2 working from home)
• Permanent, full‑time role
• Collaborative team with supportive leadership
• Internal career growth opportunities

Welcome to TAL. As a leading life insurer, we’ve been protecting Australians for over 150 years. Backed by Daiichi Life, we’re driven by big ambitions and empower to create better products and services.

Together with our Partners, we’re helping millions of Australians live a life filled with choices, options, and freedoms. See the direct impact you make delivering support and financial security with care and expertise. Grow beyond expectations with diverse roles, global connections, and exclusive learning opportunities.

Work with passionate, bright and capable colleagues. Feel inspired by supportive leaders. Collaborate with heart, where flexibility, wellbeing and inclusivity is valued. Together, we’re reimagining insurance.

So, bring a curious mind and an ambition to help us become the progressive, digitally enabled leading insurer.